Severe acute kidney injury due to violent sadomasochistic play

BMJ Case Reports
Fabian EchterdiekJörg Latus

Abstract

Bondage and discipline, dominance and submission, sadism and masochism (BDSM) refers to a variety of primarily erotic practices. Although safety is crucial for most BDSM practitioners, there are violent forms that may cause serious injury. We present the case of 61-year-old man with no history of chronic kidney disease who developed severe acute anuric kidney injury following violent BDSM play. He had been strapped tightly onto a wooden spanking bench and then received approximately 1000 vigorous hits onto his bare buttocks and thighs. Subsequently, he developed haematuria and became anuric. Laboratory testing revealed strongly elevated serum creatinine levels. Kidney biopsy was unremarkable except mild tubulointerstitial damage. Urinary production increased spontaneously again after 4 days, and serum creatinine normalised over the course of 4 weeks. We believe that a combination of intermittent abdominal compartment syndrome and blunt kidney trauma may have been responsible for this severe acute kidney injury.

References

Jan 1, 1986·Dermatologica·K Sønderbo, A Nyfors
Aug 20, 2002·The Journal of Dermatology·Hiroshi TanabeToshihiro Tanaka
Jun 29, 2006·Journal of Homosexuality·Keely KolmesCharles Moser
Nov 26, 2009·The Journal of Sexual Medicine·Christoph Joseph AhlersKlaus Michael Beier
Aug 11, 2011·Journal of Forensic Sciences·Roger W Byard, Calle Winskog
May 16, 2013·Intensive Care Medicine·Andrew W KirkpatrickUNKNOWN Pediatric Guidelines Sub-Committee for the World Society of the Abdominal Compartment Syndrome
Oct 29, 2013·Case Reports in Nephrology and Urology·Y UralS Wille
Apr 27, 2016·Advances in Chronic Kidney Disease·Deepa M Patel, Michael J Connor

❮ Previous
Next ❯

Citations

May 7, 2019·Disaster Medicine and Public Health Preparedness·Kenneth D Lempert, Jeffrey B Kopp

❮ Previous
Next ❯

Related Concepts

Related Feeds

Related Papers

Journal of Sex & Marital Therapy
Cara R Dunkley, Lori A Brotto
Ryōikibetsu shōkōgun shirīzu
Eiichi Senoo
© 2022 Meta ULC. All rights reserved